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Yeast As a Chassis for Developing Functional Assays to Study Human P53
Published on: August 4, 2019
Piperlongumine and p53-reactivator APR-246 selectively induce cell death in HNSCC by targeting GSTP1
Wei Hang1, Zhi-Xian Yin2, Gang Liu2
1Department of Otorhinolaryngology Head and Neck Surgery, Tianjin Huanhu Hospital, Tianjin, China. hangwei2627@126.com.
Abstract:
TP53 mutations frequently occur in head and neck squamous cell carcinoma (HNSCC) patients without human papillomavirus infection. The recurrence rate for these patients is distinctly high. It has been actively explored to identify agents that target TP53 mutations and restore wild-type (WT) TP53 activities in HNSCC. PRIMA-1 (p53-reactivation and induction of massive apoptosis-1) and its methylated analogue PRIMA-1Met (also called APR-246) were found to be able to reestablish the DNA-binding activity of p53 mutants and reinstate the functions of WT p53. Herein we report that piperlongumine (PL), an alkaloid isolated from Piper longum L., synergizes with APR-246 to selectively induce apoptosis and autophagic cell death in HNSCC cells, whereas primary and immortalized mouse embryonic fibroblasts and spontaneously immortalized non-tumorigenic human skin keratinocytes (HaCat) are spared from the damage by the co-treatment. Interestingly, PL-sensitized HNSCC cells to APR-246 are TP53 mutation-independent. Instead, we demonstrated that glutathione S-transferase pi 1 (GSTP1), a GST family member that catalyzes the conjugation of GSH with electrophilic compounds to fulfill its detoxification function, is highly expressed in HNSCC tissues. Administration of PL and APR-246 significantly suppresses GSTP1 activity, resulting in the accumulation of ROS, depletion of GSH, elevation of GSSG, and DNA damage. Ectopic expression of GSTP1 or pre-treatment with antioxidant N-acetyl-L-cysteine (NAC) abrogates the ROS elevation and decreases DNA damage, apoptosis, and autophagic cell death prompted by PL/APR-246. In addition, administration of PL and APR-246 impedes UMSCC10A xenograft tumor growth in SCID mice. Taken together, our data suggest that HNSCC cells are selectively sensitive to the combination of PL and APR-246 due to a remarkably synergistic effect of the co-treatment in the induction of ROS by suppression of GSTP1.
Insights
Piperlongumine (PL) and APR-246 synergize to selectively kill head and neck squamous cell carcinoma (HNSCC) cells by targeting glutathione S-transferase pi 1 (GSTP1). This combination therapy induces cell death independently of TP53 mutations, offering a new therapeutic strategy for HNSCC.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- TP53 mutations are common in head and neck squamous cell carcinoma (HNSCC), correlating with high recurrence rates.
- Existing therapies aim to target TP53 mutations or restore wild-type (WT) TP53 activity.
- PRIMA-1 (p53-reactivation and induction of massive apoptosis-1) and its analogue APR-246 can reactivate mutant p53 DNA-binding and WT p53 functions.
Purpose of the Study:
- To investigate the synergistic effect of piperlongumine (PL) and APR-246 in HNSCC treatment.
- To elucidate the mechanism underlying the selective toxicity of the PL/APR-246 combination.
- To evaluate the therapeutic potential of PL and APR-246 in preclinical models of HNSCC.
Main Methods:
- Co-treatment of HNSCC cells with piperlongumine (PL) and APR-246.
- Assessment of cell death (apoptosis and autophagic cell death) in cancer cells and normal cells.
- Investigation of TP53 mutation status and glutathione S-transferase pi 1 (GSTP1) expression.
- Measurement of reactive oxygen species (ROS), glutathione (GSH), and glutathione disulfide (GSSG) levels.
- Xenograft tumor growth inhibition studies in SCID mice.
Main Results:
- PL and APR-246 synergistically induce apoptosis and autophagic cell death selectively in HNSCC cells, sparing normal cells.
- The sensitization of HNSCC cells to APR-246 by PL is independent of TP53 mutations.
- The combination treatment suppresses GSTP1 activity, leading to ROS accumulation, GSH depletion, GSSG elevation, and DNA damage.
- Ectopic GSTP1 expression or N-acetyl-L-cysteine (NAC) pre-treatment abrogates ROS elevation and reduces treatment-induced cell death and DNA damage.
- PL and APR-246 administration inhibits UMSCC10A xenograft tumor growth in vivo.
Conclusions:
- HNSCC cells exhibit selective sensitivity to the combination of PL and APR-246.
- The synergistic effect is mediated by the suppression of GSTP1, leading to ROS induction.
- This combination represents a promising therapeutic strategy for HNSCC, irrespective of TP53 mutation status.
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